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Chapter 32 - Pacemaker/Implantable Cardioverter-Defibrillators (ICDs): Considerations for Anesthesiologists

from Section 2 - Cardiac, Thoracic, and Vascular Anesthesia

Published online by Cambridge University Press:  03 August 2023

By
Donald M. Voltz  and
Jessica A. Lovich-Sapola
Edited by
Jessica A. Lovich-Sapola
Jessica A. Lovich-Sapola
Affiliation:
Cleveland Clinic, Ohio
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Summary

A 71-year-old man presents for a right hemicolectomy after a suspicious polyp was found during a routine colonoscopy. He has a past medical history of hypertension and sick-sinus syndrome for which he had a pacemaker placed 8 years ago. He is currently active, has no known drug allergies, and has been NPO for 16 hours except for a bowel prep. He last saw his cardiologist 1 year ago and was without any limitations according to the patient. What are your concerns? Does this patient need to be seen by his cardiologist prior to his surgery? What do you need to know about his pacemaker? Will the pacemaker affect your anesthetic?

Type
Chapter
Information
Anesthesia Oral Board Review
Knocking Out The Boards
 , pp. 141 - 145
Publisher: Cambridge University Press
Print publication year: 2023

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References

Barash, PG, Cullen, BF, Stoelting, RK, et al. Clinical Anesthesia, 8th ed.Philadelphia: Lippincott Williams & Wilkins, 2017, pp. 1724–31.Google Scholar
Maisel, WH, Moynahan, M, Zuckerman, BD, et al. Pacemaker and ICD generator malfunctions: analysis of Food and Drug Administration annual reports. JAMA 2006;295:1901–6.CrossRefGoogle ScholarPubMed
Miller, R. Miller’s Anesthesia. Philadelphia: Elsevier, 2005, pp. 1416–18.Google ScholarPubMed

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